Individual
MARK WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
THE UROLOGICAL INSTITUTE OF NORTHEASTERN NEW YORK, SOUTH CLINICAL CAMPUS, 23 HACKETT BLVD., ALBANY, NY 12208
(518) 262-3341
Mailing address
711 TROY SCHENECTADY RD, SUITE 201, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
199165
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01862197
—
NY
Enumeration date
10/25/2006
Last updated
05/03/2010
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